Lung India最新文献

{"title":"\"Scorched air\": A narrative review of inhalational injuries in fire onboard ships.","authors":"V Shrinath, Rahul Tyagi, Vikas Marwah, P Swapna, B Binesh Prabu, Pt Reshma Menon, Dev Prakash Sharma","doi":"10.4103/lungindia.lungindia_618_25","DOIUrl":"10.4103/lungindia.lungindia_618_25","url":null,"abstract":"<p><p>Fires aboard ships remain a serious hazard, posing significant risks to crew members due to the confined and often poorly ventilated environments. Modern ships, especially military vessels with airtight compartments, are particularly vulnerable to rapid accumulation of smoke, even from minor fires. In such settings, smoke inhalation-not burns-is the leading cause of fire-related mortality. This article explores the pathophysiology, clinical manifestations, and management of inhalational injuries resulting from onboard ship fires. It aims to highlight the unique challenges faced in maritime settings and propose strategies for timely diagnosis and effective treatment. Inhalational injuries on ships often involve a combination of thermal injury to the upper airway, chemical irritation from toxic gases (such as carbon monoxide, hydrogen cyanide), and particulate matter deposition. Clinical features may include hoarseness, stridor, facial burns, singed nasal hairs, carbonaceous sputum, and respiratory distress. Symptom onset may be delayed, necessitating a high index of suspicion. Prompt airway management-including early endotracheal intubation-is crucial. Supportive measures such as lung-protective ventilation, fluid resuscitation, and nebulized heparin have demonstrated improved outcomes in severe cases. Given the unique risks associated with enclosed maritime environments, training ship crews in early identification of airway compromise and standardizing evacuation protocols are essential. Improved awareness of onboard medical officers, combined with evidence-based treatment strategies, can significantly reduce morbidity and mortality associated with these injuries.</p>","PeriodicalId":47462,"journal":{"name":"Lung India","volume":"43 5","pages":"583-589"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13568542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pulmonary talcosis: An interesting autopsy revelation.","authors":"Priya Suneja, B R Ashwini, Jyoti Srinivasaiah","doi":"10.4103/lungindia.lungindia_200_26","DOIUrl":"10.4103/lungindia.lungindia_200_26","url":null,"abstract":"","PeriodicalId":47462,"journal":{"name":"Lung India","volume":"43 5","pages":"602-603"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13568540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exercise testing for evaluating right ventricular (RV) function in pulmonary hypertension - A review.","authors":"Talha Farooq, Maryam Mohsin, Wajiha Fatima, Danishwer Ali, Azain Nusrat, Barka Sajid, Muhammad Ahsan, Taher Janoowala, Areeba Amir, Vivek Mansoor","doi":"10.4103/lungindia.lungindia_641_25","DOIUrl":"10.4103/lungindia.lungindia_641_25","url":null,"abstract":"<p><p>The purpose of this narrative review is to synthesize and discuss the various exercise testing modalities used to assess right ventricular (RV) function in pulmonary hypertension (PH), given that accurate and prompt assessment of RV function is crucial for both diagnosing the disease and predicting patient prognosis. A comprehensive literature search was conducted using electronic databases, including PubMed and Google Scholar. Keywords used included \"pulmonary hypertension,\" \"right ventricular function,\" \"exercise testing,\" \"cardiopulmonary exercise testing,\" \"CPET,\" \"RV dysfunction,\" \"hemodynamic assessment,\" \"right heart failure,\" and \"exercise limitation\". The review identified that RV dysfunction in PH results from complex pathophysiological mechanisms, including hemodynamic stress that leads to maladaptive remodeling, characterized by eccentric hypertrophy and compromised systolic and diastolic function. Exercise testing reveals multiple parameters reflecting RV dysfunction, including reduced VO 2 max, altered O 2 pulse, and decreased RV stroke volume during exercise. Ventilatory abnormalities such as elevated VE/VCO2 slope and reduced petCO 2 serve as important markers of impaired RV output and gas exchange. The concept of RV-arterial coupling (Ees/Ea ratio) provides valuable insights into the efficiency of RV-pulmonary artery collaboration. Exercise-induced changes in pulmonary artery systolic pressure (PASP) demonstrated prognostic significance, with lower survival rates associated with reduced PASP increases following physical activity. Exercise testing provides a comprehensive evaluation of RV function in PH patients, offering both diagnostic and prognostic value. The integration of hemodynamic, functional, and ventilatory parameters during exercise stress testing enables clinicians to better assess RV reserve capacity and guide therapeutic decision-making in pulmonary hypertension management.</p>","PeriodicalId":47462,"journal":{"name":"Lung India","volume":" ","pages":"566-582"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13568561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison between direct puncture trocar and Seldinger technique in ultrasound-guided drainage of pleural fluid collections (DIESEL study): A prospective observational study.","authors":"Sameer Peer, Jasneet Kaur, Ramniwas Jalandra, Deepak Chaudhary, Gourav Kaushal, Paramdeep Singh","doi":"10.4103/lungindia.lungindia_52_26","DOIUrl":"10.4103/lungindia.lungindia_52_26","url":null,"abstract":"<p><strong>Background and objective: </strong>There is a paucity of data comparing the direct puncture trocar technique and the Seldinger technique for the drainage of pleural fluid collections with respect to technical and clinical success rates and complication rates.</p><p><strong>Methods: </strong>The pleural fluid collections were drained using either the direct puncture trocar or the Seldinger technique by a single operator under ultrasound guidance. Technical success rates, clinical success rates, pain scores determined using a visual analog scale, complication rates, and mortality rates were compared between the two techniques.</p><p><strong>Results: </strong>A total of 94 patients were included in the analysis. Technical success was achieved in 97.87% of cases in the Seldinger group and 91.48% in the direct puncture trocar group ( P = 0.30). Clinical success was achieved in 90.09% of cases in the Seldinger group and 89.13% in the direct puncture trocar group ( P = 0.50). Patients experienced more pain with the Seldinger technique in the immediate periprocedural period (median visual analog scale [VAS] score of 6) as compared to the direct puncture trocar group (median VAS score of 5) [ P = 0.003]. Direct puncture trocar technique was significantly faster (mean procedure duration of 4.30 ± 2.41 min (direct puncture trocar group) vs 7.89 ± 2.12 min (Seldinger group) [ P = 0.00]).</p><p><strong>Conclusion: </strong>The direct puncture trocar technique appears to provide comparable technical and clinical success to the Seldinger technique for ultrasound-guided pleural drainage, with shorter procedural duration and lower immediate pain perception. Larger randomized studies are required to confirm these findings.</p>","PeriodicalId":47462,"journal":{"name":"Lung India","volume":"43 5","pages":"520-529"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13568554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Figure-text discrepancy and methodological considerations in evaluating KL-6, SP-D, and CCL-18 as biomarkers of SSc-ILD in Indian patients.","authors":"Madhulika L Mahashabde, Sai Karthik Guniganti, Brugumalla V Nitendra Saketh","doi":"10.4103/lungindia.lungindia_366_26","DOIUrl":"10.4103/lungindia.lungindia_366_26","url":null,"abstract":"","PeriodicalId":47462,"journal":{"name":"Lung India","volume":"43 5","pages":"615-616"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13568539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"STOPBANG vs STOPBWANG.","authors":"Arup K Haldar, Raja Dhar, Somnath Maity, Beauty Biswas, Shyam Krishnan, Amrita Bhattacharya","doi":"10.4103/lungindia.lungindia_405_26","DOIUrl":"10.4103/lungindia.lungindia_405_26","url":null,"abstract":"","PeriodicalId":47462,"journal":{"name":"Lung India","volume":"43 5","pages":"612-613"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13568551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short leukocyte telomere length across fibrotic interstitial lung disease phenotypes: An Indian pilot study.","authors":"Asmita Anilkumar Mehta, Moushumi Suryavanshi, V P Lakshmi Priya, Vishnu Vazhoor, Vishnu Rajan Nair, Dushyant Kumar, Manoj Kumar","doi":"10.4103/lungindia.lungindia_899_25","DOIUrl":"10.4103/lungindia.lungindia_899_25","url":null,"abstract":"","PeriodicalId":47462,"journal":{"name":"Lung India","volume":"43 5","pages":"603-605"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13568560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The hidden mystery behind the Hilar shadows.","authors":"C Sivaselvi, Hariharan Iyer, Taruna Yadav, Maya Gopalakrishnan","doi":"10.4103/lungindia.lungindia_202_26","DOIUrl":"10.4103/lungindia.lungindia_202_26","url":null,"abstract":"","PeriodicalId":47462,"journal":{"name":"Lung India","volume":"43 5","pages":"605-607"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13568541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A pilot validation study of contactless ballistocardiography versus polysomnography for sleep and respiratory assessment in older adults.","authors":"Rishabh Soni, Nasreen Akhtar","doi":"10.4103/lungindia.lungindia_43_26","DOIUrl":"https://doi.org/10.4103/lungindia.lungindia_43_26","url":null,"abstract":"<p><strong>Study objective: </strong>To evaluate the agreement between a contactless ballistocardiography (BCG) based sleep monitoring device and polysomnography (PSG) in assessing sleep macrostructure and respiratory parameters in older adults.</p><p><strong>Methods: </strong>Seventeen male participants (aged 50-80 years) underwent overnight PSG, while being simultaneously monitored using the BCG device. Parameters assessed included sleep latency, total sleep time (TST), durations of light sleep (N1 + N2), deep sleep (N3), rapid eye movement (REM) sleep, and derived non rapid eye movement (NREM) sleep, along with apnoea-hypopnea index (AHI). Paired t-tests and Bland Altman analysis were done to evaluate agreement. A P -value < 0.05 was considered statistically significant, with Bonferroni correction applied for multiple comparisons.</p><p><strong>Results: </strong>Significant differences were observed for TST, REM, deep sleep, wake time, and sleep latency. Dozee overestimated TST by + 83.00 min (95% LoA: -42.88 to + 208.7) and light sleep by + 39.88 min (LoA: -197.0 to + 117.2), while underestimating deep sleep (-29.53 min; LoA: -99.20 to + 40.14), REM sleep (-45.63 min; LoA: -137.7 to + 46.43), and time in bed (-69.41 min; LoA: -236.0 to + 97.21). Sleep latency was slightly underestimated (-8.94 min; LoA: -28.20 to + 10.32), and wake time after sleep onset was overestimated (+35.24 min; LoA: -37.21 to + 107.7). AHI was modestly overestimated by + 7.18 events/hour (LoA: -18.09 to + 32.44).</p><p><strong>Conclusion: </strong>While the BCG based device shows potential for non-invasive, unobtrusive sleep monitoring, it demonstrated substantial discrepancies when compared to PSG. These limitations may compromise the clinical utility of such devices, especially in older adults with fragmented sleep or respiratory abnormalities. BCG based devices may offer value in large scale or home-based screening contexts if future algorithmic refinements improve its staging and respiratory event detection capabilities.</p>","PeriodicalId":47462,"journal":{"name":"Lung India","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The updated 2025 classification for interstitial pneumonia: Are we ready for the entity \"idiopathic bronchiolocentric interstitial pneumonia?\"","authors":"Zarir F Udwadia, Viral Nanda, Ganesh Raghu","doi":"10.4103/lungindia.lungindia_280_26","DOIUrl":"10.4103/lungindia.lungindia_280_26","url":null,"abstract":"","PeriodicalId":47462,"journal":{"name":"Lung India","volume":"43 4","pages":"360-363"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13367547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}